23 yo F.
I have been evaluated by a neurologist (these are their findings and am waiting for the specialist, which is awhile out) but my rheumatologist is questioning my symptoms:
– DEEP TENDON REFLEXES: 1 biceps, 1 triceps, 0 knees, and 0 ankles.
– COORDINATION: There is no dysmetria with finger-nose-finger maneuver or heel-knee-shin maneuver
-MUSCULOSKELETAL: Immediately noted is the appearance of diminished intrinsic hand muscle bulk. When she is asked to extend her fingers, fingers are extended at the MCP joints but flexed at the PIP joints. No, I do not have arthritis or swelling. No clubbing.
-Left extensor hallucis 3/5, Right 4/5.
I’m now finding that I actually cannot lift my toe from the ground for more than a tremor of a quick second.
**topamax is for migraines and complex partial seizures